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Individual

DR. DAVID LEE BULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1010 ROSE HILL RD, PORT BYRON, IL 61275
(309) 523-3491
(309) 523-3670
Mailing address
1010 ROSE HILL RD, PORT BYRON, IL 61275
(309) 523-3491
(309) 523-3670

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007268
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0008123329
BCBS
Enumeration date
09/26/2006
Last updated
11/09/2011
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